PENGARUH HYPNOBIRTHING TERHADAP TINGKAT KECEMASAN IBU BERSALIN DAN LAMA PERSALINAN
STUDI DI BIDAN PRAKTEK MANDIRI WILAYAH KABUPATEN MALANG
Abstract
Ibu primipara biasanya mengalami rasa kecemasan yang tinggi dalam menghadapi proses persalinan, hal tersebut dapat mempengaruhi kekuatan kontraksi ibu untuk mendorong janin keluar selama proses persalinan. Persalinan dapat berjalan lancar jika ibu mampu menyelaraskan antara pernafasan dengan kontraksi uterus yang dirasakan, hal tersebut dapat dilakukan jika ibu dalam kondisi yang rileks. Aplikasi hipnosis dalam obstetri saat ini menjadi trend, khususnya dalam merencanakan persalinan yang fisiologis tanpa disertai gangguan psikologis seperti cemas yang berlebihan. Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh pengaruh Hypnobirthing terhadap tingkat kecemasan ibu bersalin dan lama persalinan di Bidan Praktek Mandiri wilayah Kabupaten Malang. Metode: Jenis penelitian ini adalah eksperimen dengan desain postest only control group design. Jumlah sampel seluruhnya dalam penelitian ini sebanyak 30 ibu primipara yang dibagi dalam 2 kelompok, yaitu 15 ibu bersalin dengan hypnobirthing dan 15 ibu bersalin tanpa menggunakan hypnobirthing. Pengambilan data dilakukan pada bulan Agustus 2015 sampai dengan Desember 2015. Analisis data dilakukan dengan uji Mann Whitney dengan p value 0,05. Hasil: Ibu bersalin dengan hypnobirthing sebanyak 11 orang (73,3%) tidak mengalami gejala kecemasan dan 8 orang (53,3%) dalam katagori lama persalinan normal (4-8 jam). Sedangkan ibu bersalin tanpa hypnobirthing sebanyak 6 orang (40%) termasuk dalam katagori gejala kecemasan sedang dan 6 orang (40%) dengan proses persalinan normal. Hasil analisis dengan mann whitney terhadap lama persalinan signifikasi sebesar 0,229. Dan nilai signifikasi terhadap tingkat kecemasan sebesar 0,001. Karena nilai signifikasi < 0,05 sehingga dapat dinyatakan bahwa terdapat perbedaan yang signifikan pada tingkat kecemasan antara kelompok eksperimen dengan kelompok kontrol. Kesimpulan: Tingkat kecemasan pada ibu bersalin dengan hypnobirthing lebih rendah dari pada tanpa hypnobirthing, namun tidak ada perbedaan terhadap lama persalinan
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